El Koraïchi A, Mokhtari M, El Haddoury M, El Kettani S E
Service de réanimation pédiatrique polyvalente, hôpital d'enfants de Rabat, BP 5071, Rabat, Morocco.
Rev Pneumol Clin. 2011 Oct;67(5):309-13. doi: 10.1016/j.pneumo.2010.11.003. Epub 2011 Feb 3.
The aim of this work is to present the clinical and therapeutic aspects of pin inhalation in the airways, as well as the benefit of rigid bronchoscopy for extraction in children.
Five hundred and twenty-four cases of inhaled foreign body are identified in the multipurpose pediatric intensive care unit in the children's hospital in Rabat between January 2005 and December 2010. Thirty-six (6.8%) of them are due to pin inhalation. A retrospective study was conducted to define the epidemiological characteristics, clinical treatment and outcome of pin inhalation in the airways.
Thirty-six cases of pin inhalation are identified, all females. The age varies from 10 to 15 years. The consultation period is 2 days. Symptoms are dominated by coughing and stinging sensation. In 61.11% (22 cases), the pin is lodged in the right airways, in 22.22% (eight cases) in the left airways and in 5.5% (two cases) at the trachea. In 63.8% (23 cases), the pin is removed at the first attempt. We did not record any severe complications. No deaths recorded.
Pin inhalation is a common occurrence in young girls. The extraction can be done safely by rigid bronchoscopy under general anesthesia. Particular attention should be paid to prevention and educational programs to reduce the incidence of pin inhalation.
本研究旨在介绍气道内别针吸入的临床和治疗方面，以及硬质支气管镜在儿童异物取出中的益处。
2005年1月至2010年12月期间，在拉巴特儿童医院的多用途儿科重症监护病房共识别出524例吸入异物病例。其中36例（6.8%）是由于别针吸入所致。进行了一项回顾性研究，以确定气道内别针吸入的流行病学特征、临床治疗及结果。
共识别出36例别针吸入病例，均为女性。年龄在10至15岁之间。就诊时间为2天。症状以咳嗽和刺痛感为主。61.11%（22例）的别针位于右气道，22.22%（8例）位于左气道，5.5%（2例）位于气管。63.8%（23例）的别针在首次尝试时被取出。我们未记录到任何严重并发症。无死亡病例记录。
别针吸入在年轻女孩中较为常见。在全身麻醉下通过硬质支气管镜可安全地取出异物。应特别关注预防和教育项目，以降低别针吸入的发生率。
